Individual
AMY BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
4633 BRAMBLETON AVE, #202, ROANOKE, VA 24018-3410
(540) 774-0729
Mailing address
4633 BRAMBLETON AVE, #202, ROANOKE, VA 24018-3410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207650
VA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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